DR. LOUIS GEORGE PETCU (NPI# 1427088376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427088376 |
| Entity Type | Individual |
| Full Name | DR. LOUIS GEORGE PETCU |
| Credential | M.D. |
| Practice Address |
75 Crystal Run Rd Ste 220 Middletown NY 10941 |
| Mailing Address |
660 White Plains Rd Fl 4 Tarrytown NY 10591-5139 |
| Practice Telephone | 8454676998 |
| Practice Fax Number | 8456920675 |
| Mailing Telephone | 9149842546 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2019-02-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 297344 | NY | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | 75221 | MA | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | 041922 | CT | Allopathic & Osteopathic Physicians |
| N | 207YX0602X |
Otolaryngology Specialization: Otolaryngic Allergy |
041922 | CT | Allopathic & Osteopathic Physicians |
| N | 207YX0602X |
Otolaryngology Specialization: Otolaryngic Allergy |
75221 | MA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 308 Main St, Milford, MA 017572511 | 5084780555 | 5084735088 |
| Street Address |
75 CRYSTAL RUN RD STE 220 |
| City | MIDDLETOWN |
| State | NY |
| Zip Code | 10941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407471428 | Jackeline Montoya | Case Manager/Care Coordinator | 13 Kensington Manor, Middletown, NY 10941 | 2020-06-15 |
| 1124502398 | Kimberly Dominique Mccormick | Licensed Practical Nurse | 29, Macintosh Drive, Middletown, NY 10941 | 2018-09-24 |
| 1750891081 | Heather Skinner | Case Manager/Care Coordinator | 75 Crystal Run Rd Suite 201, Middletown, NY 10941 | 2017-09-29 |
| 1295281012 | Christa Lloyd | Counselor | 15 Fortune Rd, West Middletown, NY 10941 | 2016-08-31 |
| 1023471109 | Lauren Battaglia | Occupational Therapy Assistant | 192 Tower Drive Suite 400, Middletown, NY 10941 | 2016-04-05 |
| 1992188718 | Brynn Sierra | Occupational Therapist | 21 Riverside Drive, Middletown, NY 10941 | 2015-06-30 |
| 1356788574 | Keren Denis Joseph | Custodial Care Facility | 16 Disco Dr, Middletown, NY 10941 | 2013-05-29 |
| 1902169204 | Susan A. Reilly | Specialist | 2277 Gosen Turnpike, Middletown, NY 10941 | 2012-06-21 |
| 1518229392 | Dena Sapp | Case Manager/Care Coordinator | 75 Crystal Run Rd. Suite 201, Middletown, NY 10941 | 2012-06-08 |
| 1770800542 | Orange County Medical Transportation Inc. | Taxi | 80 Wisner Avenue, Middletown, NY 10941 | 2010-05-03 |
| Find all providers in zip 10941 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790856128 | Ear Nose & Throat Specialists of Middletown Inc. | Otolaryngology | 1055 Summitt Drive, Middletown, OH 45042-3464 | 2006-11-09 |
| 1033148473 | John Francis Barrord | Otolaryngology | 1055 Summit Drive, Middletown, OH 45042-3464 | 2006-06-30 |
| 1912901869 | Steven Franklin Freedman | Otolaryngology | 850 Aquidneck Ave, Unit B9, Middletown, RI 02842-7244 | 2005-06-09 |
| 1063788461 | Sameep P. Kadakia | Otolaryngology | 4222 Grand Ave, Middletown, OH 45044 | 2012-03-29 |
| 1902048952 | Jonathan Russell Mark | Otolaryngology | 1055 Summitt Dr, Middletown, OH 45042-3464 | 2009-04-06 |
| 1770735607 | Aleksandr Guchinskiy | Otolaryngology | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2008-10-22 |
| 1689772287 | Ear Nose & Throat Medicine and Surgery Group, LLC | Otolaryngology | 850 Aquidneck Ave, Middletown, RI 02842-7244 | 2006-09-20 |
| 1396847117 | Karen Esther Paul | Otolaryngology | 75 Crystal Run Rd, Building B, Suite 220, Middletown, NY 10941-7000 | 2006-09-02 |
| 1568424935 | Lissette Giraud | Otolaryngology | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2006-04-03 |
| 1063494185 | Kweon Stambaugh | Otolaryngology | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2005-11-15 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 10941 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.